Healthcare Provider Details

I. General information

NPI: 1740119619
Provider Name (Legal Business Name): ABIGAIL ROBINSON LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40900 MERCHANTS LN
LEONARDTOWN MD
20650-3795
US

IV. Provider business mailing address

45015 VOYAGE PATH APT 210
CALIFORNIA MD
20619-2484
US

V. Phone/Fax

Practice location:
  • Phone: 240-561-9295
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberM06982
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: